Patient Medication Teaching Pl Patients

Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

A (assessment): Ms. O’Reilly’s vital signs are temperature of 37.5 C, pulse of 112, blood pressure of 102/52, and respirations of 24. Her respirations are still deep but have a regular rhythm. She has a CBS of 8.1 and regular insulin running as per orders. The lab work shows uncompensated metabolic acidosis with no hypoxia. Ms. O’Reilly’s neurological status has improved with a GSC of 13. Her dehydration is being treated with NS containing 40mEQ KCL/L running at 200ml/hr and potassium levels maintained at 4.

The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother

The patient, a thirty-three year old female singer, is having difficulty sleeping, simple activities like getting groceries tire the patient easy, complains of neck pain, and cannot concentrate. The patient experiences worry and anxiety. However, when asked about what specifically, many things were brought up but none were more important than the other.

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

On arrival at the ED, the physician auscultates muffled heart tones, no breath sounds on the right, and faint sounds on the left. A.W. is

Patient 1: monitor B/P, pulse, respirations, skin appearance and touch, notable changes in neurologic function, ECG, lab

The patient is an 81-year-old female who was brought to the ER there this morning while trying to make her bed she felt a little bit dizzy. She felt like the room was spinning and she knew she was going to go down. The next day she remembers is that she saw some blood on the right side of her eye she was on the floor she activated her alarm and the EMS actually had to climb thru a window to get her. The patient denies any palpitations prior the episode or any prior episodes of passing out the past. In the ER she was having a glucose level of 47. She has is quite significant history, she had a laminectomy done in February 2015, was discharged to rehabilitation where she had some problems with difficulty breathing and ended up in Saint Barnabas

Patient denies chest pain, SOB, N/V/D. Patient is a current tobacco user, denies use of alcohol or illicit

The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.

Last, hospital visit was to the emergency room. Last year she had an episode of SOB, and she was prescribed an albuterol inhaler. GL has been treated for hypertension for the past 13 years, her current medications are propranolol 40 mg twice daily and hydrochlorothiazide 15 mg daily. GL’s physical assessment and vitals are as followed; HR: 60 bpm, RR: 30 bpm, and B/P 152/85 mm Hg. Upon auscultation of her lungs, revealed an expanded chest, with diminished breath sounds and faint wheezes. Heart sounds were normal. The diagnosis includes COPD and asthma. Physician had ordered albuterol inhaler 1 unit does x 3 times a day and fluticasone provide anti-inflammatory, decreasing edema of airways 40 mg x 3 times a day, and oxygen 2L/NC PRN. With GL’s increasing fatigue fall precaution should be initiated and while ambulating CNA should monitor patient. Educate GL about using call light when needed and not to try and get up alone. She should also be educated daily on cessation of smoking and how to prioritize her days. Physician wants to admit

The patient is an 81-year-old gentleman who is admitted after a fall at home. He patient feels that the fall was mostly mechanical. The patient was having left-sided weakness. He denies loss of consciousness, denies any other reasons for the fall, but does admit to feeling weaker and his left side feeling heavier. he denies any chest pain or significant short of breath. He has had a an upper respiratory infection but no fever but with some chills and several episodes of watery diarrhea. His medical history significant for CVA in 2011, coronary artery disease, mitral valve repair, atrial fibrillation on Coumadin and is also has a pacemaker in place. Complete work up was done. Cardiology was uncomfortable that there was no true syncopal

Matthew Goldblum is 41 years old male his BMI 25.8 (overweight). Patient states that he is tobacco smoker. He is not interested in quitting smoking right now, but he thinks that in the near future he will quit smoking. Patient was ASA 2 for first appointments due to dental phobia, family history of high blood pressure, smoking. His vital signs were: Systolic Blood Pressure 140 mmHg and Diastolic Blood Pressure 90 mmHg (high blood pressure, hypertension stage 2). Blood pressure will be rechecked on 3 consecutive appointments. If BP will increase, then medical consultation. Patient pulse was 66 irregular, full and respiration was 20 RPM. Patient had a history of adverse reaction to lidocaine, such as dizziness and fainting. After collecting medical history, I presented it to my Professor and Doctor. Before EOE and IOE I asked the patient to tell me if he will feel any discomfort during the examination. During the

In the case study it discusses a patient, Mrs. Harris, who is a 72 year old and is complaining of fatigue and swelling in her feet. Mrs. Harris also expresses her concern on the swelling, as some days she is unable to put her shoes on despite proper elevation. She also states walking to her mailbox can be challenging because it causes her to feel more tired and to have shortness of breath, also known as dyspnea. Mrs. Harris is currently taking medication for high blood pressure, hypertension; and is also drinking approximately 8-12 glasses of wine a week. While examining Mrs. Harris it’s clear she is a little overweight and has swollen ankles. Upon listening to Mrs. Harris’s breathing, crackles are heard. Therefore, Mrs. Harris seems to have congestive heart failure.